CPT^® 64581, Under Neurostimulator Procedures on the Peripheral Nerves

The Current Procedural Terminology (CPT^®) code 64581 as maintained by American Medical Association, is a medical procedural code under the range - Neurostimulator Procedures on the Peripheral Nerves.

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Summary

The provider uses an open approach to implant a sacral nerve neurostimulator electrode array. Placement is transforaminal, meaning through the foramen (the opening sacral nerves run through). This service is often done to treat conditions such as urinary or fecal incontinence or chronic pelvic pain.

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Removal of Two Nerve Stimulators before InterStim Placement?

"Patient has a long history of overactive bladder. In 2005 a patient had a pudendal stimulator placed which did not work and is still in place. The patient also had an InsterSim stimulator that was pl... [ Read More ]

InterStim lead and generator removal and replacement

I would suggest: 64581 64590... [ Read More ]

64561 vs 64581 for Interstim lead placement

Thank you for your response! The issue I'm having is I thought the same way until I saw the entry in the CPT book that states that CPT 64561 can be used for permanent lead placement. That's why I'm ... [ Read More ]

64561 vs 64581 for Interstim lead placement

64561 is for the Interstim trial. The trial is only for a week or so. If it helps the patient and they want to proceed, then use 64581 for the permanent lead placement. Stage 1 is 64581 and 76000, 26... [ Read More ]

64561 vs 64581 for Interstim lead placement interstim

My fellow coder and I have just discovered that we are sometimes coding Interstim lead placements differently and I am trying my hardest to make sure I am doing it correctly. I code for a surgery cen... [ Read More ]

Interstim Interogation

When a patient is in the 90 day global of getting a full interstim implanted (64581,64590) and then come back in for a post op visit and the physician interrogates and does some program changes (95971... [ Read More ]

Sacral neuromodulation for bladder and bowel control coding question

Are you talking about the permanent implant? 64581 is for the permanent implantation of the device. We do them in our Urology ASC also - and in 5 years I've never seen them do the permanent on both ... [ Read More ]

Sacral neuromodulation for bladder and bowel control coding question

Can CPT 64581- Incision for implantation of neurostimulator electrode array, sacral nerve (transforaminal placement) be billed bilateral if they are placing electrodes on the RT & LT S3 nerve? I code ... [ Read More ]

Interstim revision

[b]Interstim Revision[/b] Without the Op Report it is difficult say. 64581, 64585, 64595 and 64590 however are not qualified as bilateral codes so modifier 50 should not be used. It also appears that... [ Read More ]

Interstim revision

I am so confused on what codes to use for interstim revision. Doctor states explant interstim device, insertion of new device with new quad lead of right side. Defunctionalization of existing quals l... [ Read More ]

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